Hemoperitoneum Secondary to Deserosalized Uterine Leiomyoma.
Danielle A Aase, Matthew R Hopkins, Michael F Neblett
✦ AI-curated · Sources linked
Case in brief
A 31-year-old woman with a known subserosal uterine leiomyoma presented with acute abdominal pain. Diagnostic laparoscopy revealed 1200 mL of hemoperitoneum and oozing from deserosalized leiomyoma tissue. An uncomplicated laparoscopic myomectomy was performed to address the bleeding.
What made this case unusual
The case highlights acute hemorrhage from a deserosalized uterine leiomyoma, a rare occurrence that can lead to significant intra-abdominal bleeding.
Diagnostic / clinical pearl
Clinicians should consider deserosalized uterine leiomyoma as a potential cause of acute intra-abdominal hemorrhage in reproductive-aged women with a history of leiomyomas.
Why it matters
Recognizing this rare complication can facilitate timely intervention and potentially allow for minimally invasive management options.